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My 5 Moments for Hand Hygiene

Focus on caring for a patient
with a Urinary Catheter

CLEAN YOUR HANDS WHEN HANDLING A URINARY
CATHETER AND DRAINAGE SYSTEM

3

O

4

AFTER
TOUCHING
A PATIENT

D
AF
T E R BO U
FLU
OS
RIS I D E X P
K

CLEAN YOUR HANDS WHEN HANDLING A URINARY
CATHETER AND DRAINAGE SYSTEM
Immediately after any task involving the urinary catheter
or drainage system that could lead to urine exposure, such as:
3a. Collecting a urine sample
3b. Emptying the drainage bag
3c. Removing the urinary catheter
WHY?

To protect the patient against harmful germs,
including the patient's own, from entering his/her body.

Y
E

BEFORE
TOUCHING
A PATIENT

WHY?

R

1

BE
F
CL OR
EA
PR

E ASEPTIC
/
N E D U RE
C

2

Immediately before any manipulation of the urinary catheter
or drainage system that could lead to contamination
of the sterile urine, such as:
2a. Inserting or applying an indwelling, intermittent straight,
or condom catheter; immediately before putting on sterile gloves
2b. Accessing the drainage system to collect a urine sample
or to empty the drainage bag

5

AFTER
TOUCHING PATIENT
SURROUNDINGS

To protect yourself and the health-care
environment from harmful patient germs.

5 KEY ADDITIONAL CONSIDERATIONS FOR A PATIENT WITH A URINARY CATHETER




Make sure that there is an appropriate indication for the indwelling urinary catheter.
Use a closed urinary drainage system, and keep it closed.
Insert the catheter aseptically using sterile gloves.
Assess the patient at least daily to determine whether the catheter is still necessary.
Patients with indwelling urinary catheters do not need antibiotics (including for asymptomatic bacteriuria),
unless they have a documented infection.

No Action Today
No Cure Tomorrow
All reasonable precautions have been taken by the World Health Organization to verify the information contained in this document. However, the published material is being distributed without warranty of any kind,
either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.
WHO acknowledges for their active participation in developing this material the VA Ann Arbor Healthcare System & University of Michigan’s Patient Safety Enhancement Program (www.catheterout.org),
Ann Arbor, MI, United States, and Infection Control and Human Factors Laboratories, University Hospital Zurich, Zurich, Switzerland (www.humanlabz.org).